Individual
LAURA J CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1608 AVENUE J, HUNTSVILLE, TX 77340-5229
(210) 326-0979
Mailing address
12500 NW MILITARY HWY # 250, SAN ANTONIO, TX 78231-1897
(210) 302-6920
(210) 302-6952
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
39617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085422602
—
TX
Enumeration date
05/22/2017
Last updated
06/14/2024
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